A Matter of Intent: A Social Obligation to Improve Criminal Procedures for Individuals with Dementia

Abstract

The relationship between dementia and criminal behavior perplexes legal and health care systems. Dementia is a progressive clinical syndrome defined by impairment in at least two cognitive domains that interferes with one's activities of daily. Dementia symptoms have been associated with behaviors that violate social norms and constitute criminal actions. A failure to address a gap in policies that support appropriate management of individuals with dementia reflects a failure in our social obligation to care for those who are most vulnerable amongst us. Categorical protections, informed by precedent models applied to juveniles and individuals with psychiatric illness, could help meet a social obligation to provide protections to individuals with dementia. We propose an approach that integrates affirmative defenses to mitigate criminal liability and sentencing restrictions to prevent cruel and unusual punishment.

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References

G. M.

McKhann ,

D. S.

Knopman ,

Chertkow ,

B. T.

Hyman ,

C. R.

Jack ,

C. H.

Kawas ,

W. E.

Klunk , et al., “The Diagnosis of Dementia Due to Alzheimer's Disease: Recommendations from the National Institute on Aging — Alzheimer's Association Workgroups on Diagnostic Guidelines for Alzheimer's Disease,” Alzheimer's & Dementia: The Journal of the Alzheimer's Association 7, no. 3 (2011): 263–269, doi: 10.1016/j.jalz.2011.03.005.

Liljegren ,

Naasan ,

Temlett ,

D.C.

Perry ,

K. P.

Rankin ,

Merrilees ,

L. T.

Grinberg ,

W.W.

Seeley ,

Englund , and

B. L.

Miller , “Criminal Behavior in Frontotemporal Dementia and Alzheimer Disease,” JAMA Neurology 72, no. 3 (2015): 295–300, doi: 10.1001/jamaneurol.2014.3781.

Federal Bureau of Investigation, Crimes in the Unites States (2018), available at <https://ucr.fbi.gov/crime-in-theu.s/2018/crime-in-the-u.s.-2018/topic-pages/tables/table-38> (last accessed May 19, 2020); Alzheimer's Association, “2018 Alzheimer's Disease Facts and Figures,” Alzheimer's & Dementia 14, no. 3 (2018): 367–429, doi: 10.1016/j.jalz.2018.02.001.

R. T.

Brown ,

R. T, C.

Ahalt ,

Rivera ,

I. S.

Cenzer ,

Wilhelm , and

B. A.

Williams , “Good Cop, Better Cop: Evaluation of a Geriatrics Training Program for Police,” Journal of the American Geriatrics Society 65, no. 8 (2017): 1842–1847, doi: 10.1111/jgs.14899.

S. J.

Morse

, “Criminal Responsibility and the Disappearing Person,” Cardozo Law Review 28, no. 6 (2007): 2545-2575.

J. E.

Carroll

, “Brain Science and the Theory of Juvenile Mens Rea,” North Carolina Law Review 94, no. 2 (2015): 539-600.

Id.

American Law Institute, “Model Penal Code,” (1962), available at <https://www.ali.org/publications/show/model-penal-code/> (last visited April 27, 2020).

10.

Arizona Revised Statutes, 2019, “13-1203 — Assault; Classification,” available at <https://www.azleg.gov/ars/13/01203.htm> (last visited April 27, 2020).

11.

Id.

12.

Roper v. Simmons, 543 U.S. 551 (2005).

13.

Miller v. Alabama, 567 U.S. 460 (2012).

14.

J.D.B. v. North Carolina, 564 U.S. 261 (2011).

15.

Carroll 2015, supra note 6.

16.

American Law Institute 1962, supra note 9.

17.

Corrado

, “Automatism and the Theory of Action,” Emory Law Journal 39, no. 4 (1990): 1191-1228.

18.

Schlatter v. State, 891 N.E.2d 1139 (2008).

19.

Id.

20.

Id.

21.

Roper, supra note 12.

22.

Atkins v. Virginia (00-8452) 536 U.S. 304 (2002) 260 Va. 375, 534 S. E. 2d 31

23.

Id.

24.

Madison v. Alabama, 2019, 33.

25.

Id.

26.

Burns

, “Diversion Programs Say They Offer a Path Away From Court,” ProPublica, November 13, 2018, available at <https://www.propublica.org/article/diversion-programs-illinois-criminal-justice-system-bounceback-correctivesolutions> (last visited April 27, 2020).

27.

Widgery

, The Legislative Primer Series for Front End Justice: Mental Health (National Conference of State Legislatures, 2018), at 11.

28.

Center for Health and Justice, “A National Survey of Criminal Justice Diversion Programs and Initiatives,” (2013), available at <http://Www2.Centerforhealthandjustice.Org/Sites/Www2.Centerforhealthandjustice.Org/Files/Publications/CHJ%20Diversion%20Report_web.Pdf> (last visited April 27, 2020).

29.

National Conference of State Legislatures, “Pretrial Diversion,” (2017), available at <http://www.ncsl.org/research/civil-and-criminal-justice/pretrial-diversion.aspx> (last visited April 27, 2020).

30.

“Juvenile Age of Jurisdiction and Transfer to Adult Court Laws,” (2019), available at <http://www.ncsl.org/research/civil-and-criminal-justice/juvenile-age-of-jurisdiction-and-transfer-to-adult-court-laws.aspx> (last visited April 27, 2020).

31.

“Dementia,” (2018), available at <https://medlineplus.gov/dementia.html> (last visited April 27, 2020).

32.

Id.

33.

Liljegren, supra note 2.

34.

Id.

35.

Squire

, “Minneapolis Businessman with Brain Illness Pleads Guilty to Child Pornography Charge,” Twin Cities, November 14, 2017, available at <https://www.twincities.com/2017/11/14/minneapolis-businessman-with-brain-illness-pleads-guilty-to-child-pornography-charge/> (last visited April 27, 2020).

36.

The Canadian Press, “87-Year-Old Dementia Patient Accused of Killing Wife Remains in Limbo at Calgary Psychiatric Hospital | CBC News,” CBC (2017), available at <https://www.cbc.ca/news/canada/calgary/fred-van-zuiden-psychiatric-aging-justice-challenges-wife-killed-1.4456028> (last visited April 27, 2020).

37.

Alzheimer's Association, supra note 3.

38.

Id.

39.

Rabinovici

, “Late-Onset Alzheimer Disease,” Continuum: Lifelong Learning in Neurology 25, no. 1 (2019): 14–33, doi: 10.1212/CON.0000000000000700.

40.

Liljegren, supra note 2.

41.

Bang ,

Spina , and

B. L.

Miller , “Frontotemporal Dementia,” The Lancet 386, no. 10004 (2015): 1672–1682, doi: 10.1016/S0140-6736(15)00461-4.

42.

Deleon and

B. L.

Miller , “Chapter 27 - Frontotemporal Dementia,” in Neurogenetics, Part II, vol. 148, Handbook of Clinical Neurology, ed.

D. H.

Geschwind ,

H. L.

Paulson , and

Klein , (Elsevier, 2018): 409–430, doi: 10.1016/B978-0-444-64076-5.00027-2.

43.

R. E.

Kelley and

El-Khoury , “Frontotemporal Dementia,” Neurologic Clinics Neurobehavioral Manifestations of Neurological Diseases: Diagnosis and Treatment 34, no. 1 (2016): 171–181, doi: 10.1016/j.ncl.2015.08.007.

44.

“Dementia” 2018, supra note 30.

45.

Bang, supra note 40.

46.

I.G.

McKeith

, et al., “Diagnosis and Management of Dementia with Lewy Bodies: Third Report of the DLB Consortium,” Neurology 65, no. 12 (2005): 1863-1872.

47.

Carroll, supra note 6.

48.

S. B.

Math ,

C. N.

Kumar , and

Moirangthem , “Insanity Defense: Past, Present, and Future,” Indian Journal of Psychological Medicine 37, no. 4 (2015): 381–387, doi: 10.4103/0253-7176.168559.

49.

Falk ,

Cole , and

T. J.

Meredith , “Evaluation of Suspected Dementia,” American Family Physician 97, no. 6 (2018): 398-405.

50.

Cox

, “The Role of Neuropsychological Testing in the Care of Older Adults,” British Columbia Medical Journal 53, no. 8 (2011): 416-420.

51.

J. C.

Morris

, “The Clinical Dementia Rating (CDR): Current Version and Scoring Rules,” Neurology 43, no. 11 (1993): 2412–2414, doi: 10.1212/WNL.43.11.2412-a.

52.

Amjad ,

D. L.

Roth ,

O. C.

Sheehan ,

C. G.

Lyketsos ,

J. L.

Wolff , and

Q. M.

Samus , “Underdiagnosis of Dementia: An Observational Study of Patterns in Diagnosis and Awareness in US Older Adults,” Journal of General Internal Medicine 33, no. 7 (2018): 1131–1138, doi: 10.1007/s11606-018-4377-y.

53.

Deleon, supra note 41.

54.

K. A.

Johnson ,

Minoshima ,

N. I.

Bohnen ,

K. J.

Donohoe ,

N. L.

Foster ,

Herscovitch ,

J. H.

Karlawish , et al., “Appropriate Use Criteria for Amyloid PET: A Report of the Amyloid Imaging Task Force, the Society of Nuclear Medicine and Molecular Imaging, and the Alzheimer's Association,” Alzheimer's & Dementia 9, no. 1 (2013): E1–16, doi: 10.1016/j.jalz.2013.01.002.

55.

Roper, supra note 12; Miller, supra note 13.

56.

Roper, supra note 12.

57.

Brown et al., supra note 4.

58.

Brown et al., supra note 4.

59.

Brown et al., supra note 4.